| NPI | 1679913891 |
|---|---|
| Former Name | KEELY DYANE WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61503) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-06-12 |